Newborn affected by maternal use of tobacco
ICD-10 P04.2 is a billable code used to indicate a diagnosis of newborn affected by maternal use of tobacco.
Newborns affected by maternal tobacco use may present with various health issues due to the teratogenic effects of nicotine and other harmful substances found in tobacco. Maternal smoking during pregnancy is associated with low birth weight, preterm birth, and increased risk of sudden infant death syndrome (SIDS). The effects of tobacco can also lead to respiratory problems, neurodevelopmental delays, and behavioral issues in the child. The impact of maternal tobacco use can be compounded by other factors such as the presence of additional maternal substance use, socioeconomic status, and access to prenatal care. Clinicians must assess the newborn for signs of withdrawal or other complications related to maternal tobacco exposure, and appropriate interventions should be initiated to support the infant's health and development. Documentation should include maternal history, any observed neonatal symptoms, and the care provided to address these issues.
Detailed maternal history, including smoking status, prenatal care received, and any complications during pregnancy.
Newborns admitted to the NICU for respiratory distress or low birth weight attributed to maternal smoking.
Consideration of the infant's withdrawal symptoms and the need for supportive care.
Documentation of developmental assessments and any behavioral concerns related to maternal tobacco exposure.
Routine pediatric visits where developmental delays or behavioral issues are noted in children with a history of maternal tobacco use.
Monitoring for long-term effects of tobacco exposure on growth and development.
Used when a newborn affected by maternal tobacco exposure is evaluated in the nursery.
Document maternal history, newborn assessment findings, and any interventions provided.
Neonatologists should ensure thorough documentation of the newborn's condition and any follow-up care needed.
Long-term effects can include developmental delays, behavioral issues, and increased risk of respiratory problems. Regular monitoring and early intervention are crucial for affected children.
